198603525-3-4-2024-28-AS-LHIS-D372AD-20240308161322

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198603525
Report Date: 03/04/2024
Date Signed: 03/04/2024 03:28:58 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/01/2024 and conducted by Evaluator Angelica Rea

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20240301112134

FACILITY NAME:	LAMBERT PLACE, THE		FACILITY NUMBER:	198603525
ADMINISTRATOR:	ALVAREZ, EDUARDO		FACILITY TYPE:	737
ADDRESS:	13304 LAMBERT RD		TELEPHONE:	(909) 631-8521
CITY:	WHITTIER	STATE: CA	ZIP CODE:	90602
CAPACITY:	3	CENSUS: 3	DATE:	03/04/2024
		UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Eduardo Alvarez		TIME COMPLETED:	03:45 PM

ALLEGATION(S):

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Staff do not ensure that resident(s) are administered medication(s) as prescribed
Staff are not reporting incidents involving resident(s) as required
Staff are not keeping accurate records of medication distribution

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Angelica Rea conducted an initial complaint visit in response to the allegations listed above. LPA met with Administrator, Eduardo Alvaraz, who assisted with today's visit.

The investigation consisted of tour of the facility, review of resident(s) medication, review of resident(s) Individual Program Plans (IPP), review of Staff #8 and Staff #9 file(s), and review of special incident report submited to Community Care Licensing on 3/3/24. Residents were not interviewed due to resident functioning level.

Regarding the allegation that : Staff do not ensure that resident(s) are administered medication(s) as prescribed. The investigation consisted of review of medication(s) for resident #1 - resident #3, review of resident #1 - resident #3 medication administration record(s). and interviews with Administrator, and Staff #1 - Staff #7. LPA review of resident medication(s) indicates that the medications are being administered as prescribed. Administrator and staff interviewed denied the allegation.

Unsubstantiated

Estimated Days of Completion:

NAME OF LICENSING PROGRAM MANAGER: Lisa Hicks
NAME OF LICENSING PROGRAM ANALYST: Angelica Rea
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 03/04/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2024

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 28-AS-20240301112134

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: LAMBERT PLACE, THE	FACILITY NUMBER: 198603525
	VISIT DATE: 03/04/2024

NARRATIVE

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Administrator and seven out of seven staff interviewed stated that they have observed that the medication is being administered as prescribed. Administrator and staff interviewed stated that staff who administer medication receive medication training, and they also ensure the residents are receiving the correct medication with the facility verification procedures.

Regarding the allegation that : Staff are not reporting incidents involving resident(s) as required. The investigation consisted of interviews with Administrator, and staff #1- staff #7. Administrator and staff interviewed denied the allegation. Administrator and seven out of seven staff interviewed stated that staff take daily notes on all residents, and they indicate if any special incidents have occurred. Administrator stated that the facility reports special incidents to the appropriate agencies as required. LPA observed that a special incident that was submitted to Community Care licensing on 3/3/24.

Regarding the allegation that : Staff are not keeping accurate records of medication distribution. The investigation consisted of review of resident #1 - resident #3 medication administration record(s), and interviews with Administrator, and Staff #1 - Staff #7. LPA review of resident medication record(s) indicates that the medication records are accurate. Administrator and staff interviewed denied the allegation. Administrator and seven out of seven staff interviewed stated that staff are keeping accurate records of medication distribution.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED.

Exit interview was conducted with Mr. Alvarez and a copy of this report was provided.

NAME OF LICENSING PROGRAM MANAGER: Lisa Hicks
NAME OF LICENSING PROGRAM ANALYST: Angelica Rea
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 03/04/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2024

LIC9099 (FAS) - (06/04)

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